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Protean Dermatology Consulting, LLC

Dermatology Physician in Bend, OR · enumerated 2024 · authorized official John Jackson, Physician Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1326864059

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Registry record

Entity type Organization (Type 2)
Legal business name Protean Dermatology Consulting, LLC
Practice address 360 Sw Bond St Ste 310, Bend, OR, 97702
Phone (855) 457-5593
Enumeration date Nov 26, 2024
Last updated in NPPES Nov 26, 2024

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name John Jackson
Title Physician Owner
Phone (855) 457-5593

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-11-26. Verify at npiregistry.cms.hhs.gov.
Where is Protean Dermatology Consulting, LLC located?
The practice location on file with NPPES is in Bend, OR.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-26.